A similarity of roles for the scrub person and the circulating nurse is that they both:

Are communications links with personnel outside the room

Set up initial sterile instruments and supplies

Advise the team of breaks in sterile technique

Position lights on step stools

Answer and Explanation

The Correct Answer is A

A. Are communications links with personnel outside the room. Both the scrub person and the circulating nurse serve as communication links with the personnel outside the operating room. The scrub person may communicate regarding sterile equipment needs, while the circulating nurse communicates about patient status and surgical progress.

B. Set up initial sterile instruments and supplies. This is the responsibility of the scrub person, not the circulating nurse. The scrub person ensures that sterile instruments are ready and that the sterile field is set up properly.

C. Advise the team of breaks in sterile technique. Only the scrub person is typically responsible for maintaining sterile technique and calling attention to any breaches in sterility. The circulating nurse may assist with ensuring the environment is safe, but the scrub person is directly in charge of sterile technique.

D. Position lights on step stools. Positioning the lights is the responsibility of the circulating nurse. The scrub person’s role is more focused on the sterile field and assisting with surgical instruments.

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Correct Answer is C

Explanation

A. Apple juice: Apple juice is a clear liquid, which is typically appropriate for a full liquid diet. This item does not need to be removed.

B. Cream of rice cereal: Cream of rice cereal is a proper component of a full liquid diet, as it is soft and liquid in nature.

C. Scrambled eggs: Scrambled eggs are considered a solid food and should not be included in a full liquid diet, which requires all foods to be liquid or semi-liquid.

D. Vanilla yogurt: Vanilla yogurt is a part of a full liquid diet as it is a smooth, creamy consistency that fits the requirements.

A. nausea and vomiting. B. delayed healing C. anorexia. D. hydration issues.

Correct Answer is B

Explanation

A. Nausea and vomiting. Nausea and vomiting can occur after surgery due to anesthesia and other factors. However, it is more common in patients of all ages who undergo certain types of surgery. Though these groups may be more susceptible, this is not the most specific risk.

B. Delayed healing. Both very young and older adult patients are at higher risk for delayed healing. In the very young, the immune system and cell regeneration processes are still developing, while in older adults, decreased circulation, chronic conditions, and slower cellular regeneration can impair wound healing.

C. Anorexia. Anorexia is not specific to surgical patients. While appetite loss can occur postoperatively, it is not as universally problematic in young or older surgical patients as delayed healing.

D. Hydration issues. Hydration issues can occur in all patients, especially following surgery, but they are particularly critical for the very young (due to smaller body mass and high fluid turnover) and the elderly (due to decreased kidney function and total body water). However, this is not as universally prevalent as delayed healing.

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A similarity of roles for the scrub person and the circulating nurse is that they both:

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is postoperative and has a prescription for a full liquid diet. The nurse enters the client's room to find he has just received a dietary tray. Which of the following items on the tray should the nurse remove?

Correct Answer is C

Explanation

The nurse is aware that in both the very young and the older adult surgical patient, the risk is much higher for:

Correct Answer is B

Explanation

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